title: Uterine rupture due to invasive metastatic gestational trophoblastic neoplasm.
abstract: While complete molar pregnancies are rare, they are wrought with a host of potential complications to include invasive gestational trophoblastic neoplasia. Persistent gestational trophoblastic disease following molar pregnancy is a potentially fatal complication that must be recognized early and treated aggressively for both immediate and long-term recovery. We present the case of a 21-year-old woman with abdominal pain and presyncope 1 month after a molar pregnancy with a subsequent uterine rupture due to invasive gestational trophoblastic neoplasm. We will discuss the complications of molar pregnancies including the risks and management of invasive, metastatic gestational trophoblastic neoplasia.
authors.affiliation: Naval Medical Center Portsmouth, Emergency Medicine Program, Portsmouth, Virginia.
authors.forename: David I
authors.initials: DI
authors.lastname: Bruner
authors.forename: Amy M
authors.initials: AM
authors.lastname: Pritchard
authors.forename: Jonathan
authors.initials: J
authors.lastname: Clarke